Individual
MARIA HOPE MATERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
64 DIVISION AVE, SUITE 217 C, LEVITTOWN, NY 11756-2999
(516) 456-5979
Mailing address
6 BERYL LN, FARMINGDALE, NY 11735-2801
(516) 456-5979
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
013557
NY
Other
Enumeration date
02/07/2010
Last updated
03/02/2010
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